弹性带改善口腔器械治疗对阻塞性睡眠呼吸暂停的影响:一个随机交叉试验
Ulrik Leidland Opsahl1,2,3, Morten Berge1,2,4, Sverre Lehmann2,3,4
1Department of Clinical Dentistry, Faculty of Medicine, Center for Translational Oral Research (TOR), University of Bergen, Bergen, Norway.
Journal of oral rehabilitation
|September 30, 2024
概括
将弹性带添加到口腔器械上显著改善了阻塞性睡眠呼吸暂停的治疗成功,特别是在口腔开口更宽的男性中. 虽然有效,但患者更喜欢没有这些带的设备.
科学领域:
- 睡眠医学 睡眠医学
- 牙科 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 限制口腔开口的口腔器械 (OA) 对阻塞性睡眠呼吸暂停 (OSA) 有希望.
- 带有弹性带的Bibloc OA可能提供与单块电器相似的好处.
研究的目的:
- 评估在双块OAs上的弹性带是否可以提高治疗成功率 (呼吸事件指数≥50%降低).
- 确定在OA治疗中成功使用弹性带的预测因素.
主要方法:
- 随机对照试验与69名患者进行比较,比较了带有弹性带和没有弹性带的Bibloc OA.
- 在3周后,家用呼吸道测谎仪和问卷评估了治疗效果.
- 患者转向替代治疗模式,进行相同的随访.
主要成果:
- 带有弹性带的口腔器械显示出更高的成功率 (53.9%对34.6%,p=0.002) 基于呼吸事件指数 (REI).
- 男性的性别和最大的口腔开口预测了弹性带的成功增加.
- 弹性带主要改善了卧卧姿势的REI减少,尽管患者偏好偏好非带带的设备.
结论:
- 弹性带可以通过减少卧床REI来提高OA治疗OSA的疗效.
- 具有较大的最大口腔开口的男性是OA治疗中可能受益于弹性带的子组.
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